Page 133 | Valparaiso Baptist Church

RE:NEW EVENT DETAILS

When: March 14-16
Where: Valparaiso Baptist Church
612 Emmettsburg St, Valparaiso, IN 46385

Note for Parents:

Cell phone usage will be limited during the event.

In case of emergency or if you need to reach your teen, please call any of the following numbers: (219) 512-6554 or (219) 508-0181.

First Name: (Required)

Last Name: (Required)

Birthday: (mm/dd/yyyy) (Required)

Please select the church/organization you are affiliated with? (Required)

Emergency Contact: (Please Indicate the Name, Relation, and Phone #) (Required)

In the event of an emergency, who do we contact? Phone number?

Allergies or Medical Info:

Please pick from the following list which breakout session you would like to attend. (Required)

Based on the breakout session you selected, what questions would you like to have answered? Are there any specific topics you’d like to see addressed? (Required)

Solve 3 + 3 = ?

Valparaiso Baptist Church

612 Emmettsburg St
Valparaiso, IN 46385

(219) 464-1443

vbc@valpobaptist.org

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